Plastic surgery; its principles and practice . URETHRALOPENING. j_ RAW*^ SURFACE AXIS ONWHICH PENISIS FOLD Fig. 8.—Operation for hypospadias (Bucknall).—i. The dotted lines indicate theincisions to form the flaps. 2. The flaps dissected up and reflected. is obtained, where the two incisions are connected by a transverse one,and the flap of skin lifted but left attached to the cervLx by the innersurface. Several sutures now close the lateral integument over thedenuded area. The pedunculated flap of prepuce is constructed intoa tube, with its skin or outer surface inside, by means of a number of
Plastic surgery; its principles and practice . URETHRALOPENING. j_ RAW*^ SURFACE AXIS ONWHICH PENISIS FOLD Fig. 8.—Operation for hypospadias (Bucknall).—i. The dotted lines indicate theincisions to form the flaps. 2. The flaps dissected up and reflected. is obtained, where the two incisions are connected by a transverse one,and the flap of skin lifted but left attached to the cervLx by the innersurface. Several sutures now close the lateral integument over thedenuded area. The pedunculated flap of prepuce is constructed intoa tube, with its skin or outer surface inside, by means of a number ofcatgut sutures. The penis is tunneled with a narrow bistoury or me-dium trocar and cannula, through the glans, above its groove, along thepenis to a point beneath the hypospadiac opening, when it is made toemerge at one side of, but close to, the urethra; the tube of prepuce isdrawn through the tunnel and sutured where it enters the glans and also 326 PLASTIC SURGERY
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